Background: Sarcoma treatment is a complex and multidisciplinary process. Little is known about the actual status of sarcoma care in Germany. Objectives: We evaluated: (1) on an institutional level, which physician diagnosed and treated sarcomas; (2) whether guidelines and tumor board recommendations were routinely implemented; and (c) access to which diagnosis and treatment options was regarded as problematic. We also examined factors that were associated with access problems. Methods: A cross-sectional online survey was employed among German sarcoma physicians between June 2017 and February 2018 with convenience sampling. Results: Two hundred fourteen physicians participated; 46% were oncologists and 27% surgeons, 38% worked in hospitals of maximum care, 34% were office based and 27% worked in other hospitals, 68% of all of the physicians consulted established guidelines, and 93% presented their patients in multidisciplinary tumor boards. The most common access problems were: isolated limb perfusion (39%), deep-wave hyperthermia (33%), and FDG-PET (27%), and 42% reported no access problems at all. Those physicians who treat more than 100 patients per year reported “no access problems” more frequently compared to centers with lower patient numbers (vs. 0–10 patients, OR 0.14; 95% CI 0.03–0.61; vs. 11–100 patients, OR 0.21; 95% CI 0.06–0.73). Conclusions: Access to multidisciplinary tumor boards seems to be largely guaranteed in the participants of our survey. The use of guidelines could be further implemented and expanded. The number of treated patients appears to be a significant factor to avoid access problems to treatment options.

1.
Andritsch
E
,
Beishon
M
,
Bielack
S
,
Bonvalot
S
,
Casali
P
,
Crul
M
, et al
.
ECCO Essential Requirements for Quality Cancer Care: Soft Tissue Sarcoma in Adults and Bone Sarcoma. A critical review
.
Crit Rev Oncol Hematol
.
2017
Feb
;
110
:
94
105
.
[PubMed]
1040-8428
2.
Casali
P
.
Managing adult soft tissue sarcomas and gastrointestinal stromaltumours.
Cancer World [Internet] [cited 2019 May 21]. Available from: http://cancerworld.net/e-grandround/managing-adult-soft-tissue-sarcomas-and-gastrointestinal-stromal-tumours
3.
Derbel
O
,
Heudel
PE
,
Cropet
C
,
Meeus
P
,
Vaz
G
,
Biron
P
, et al
.
Survival impact of centralization and clinical guidelines for soft tissue sarcoma (A prospective and exhaustive population-based cohort)
.
PLoS One
.
2017
Feb
;
12
(
2
):
e0158406
.
[PubMed]
1932-6203
4.
Rossi
CR
,
Vecchiato
A
,
Mastrangelo
G
,
Montesco
MC
,
Russano
F
,
Mocellin
S
, et al
.
Adherence to treatment guidelines for primary sarcomas affects patient survival: a side study of the European CONnective TIssue CAncer NETwork (CONTICANET)
.
Ann Oncol
.
2013
Jun
;
24
(
6
):
1685
91
.
[PubMed]
0923-7534
5.
Blay
JY
,
Soibinet
P
,
Penel
N
,
Bompas
E
,
Duffaud
F
,
Stoeckle
E
, et al;
NETSARC/RREPS and French Sarcoma Group–Groupe d’Etude des Tumeurs Osseuses (GSF-GETO) networks
.
Improved survival using specialized multidisciplinary board in sarcoma patients
.
Ann Oncol
.
2017
Nov
;
28
(
11
):
2852
9
.
[PubMed]
0923-7534
6.
Jakob
J
,
Gerres
A
,
Ronellenfitsch
U
,
Pilz
L
,
Wartenberg
M
,
Kasper
B
, et al
.
Behandlung retroperitonealer Sarkome in Deutschland : Eine Umfrage der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie, der Deutschen Interdisziplinären Studiengruppe Sarkome und der Patientenorganisation Das Lebenshaus
.
Chirurg
.
2018
Jan
;
89
(
1
):
50
5
.
[PubMed]
1433-0385
7.
Issels
RD
,
Lindner
LH
,
Verweij
J
,
Wessalowski
R
,
Reichardt
P
,
Wust
P
, et al
Effect of Neoadjuvant Chemotherapy Plus Regional Hyperthermia on Long-term Outcomes among Patients with localized High-Risk Soft Tissue Sarcoma: The EORTC 62961-ESHO 95 Randomized Clinical Trial. JAMA Oncol. 1. April
2018
;4(4):483.
8.
Neuwirth
MG
,
Song
Y
,
Sinnamon
AJ
,
Fraker
DL
,
Zager
JS
,
Karakousis
GC
.
Isolated Limb Perfusion and Infusion for Extremity Soft Tissue Sarcoma: A Contemporary Systematic Review and Meta-Analysis
.
Ann Surg Oncol
.
2017
Dec
;
24
(
13
):
3803
10
.
[PubMed]
1068-9265
9.
Jakob
J
,
Smith
HG
,
Wilkinson
MJ
,
Pencavel
T
,
Miah
AB
,
Thomas
JM
, et al
.
Regional chemotherapy by isolated limb perfusion prior to surgery compared with surgery and post-operative radiotherapy for primary, locally advanced extremity sarcoma: a comparison of matched cohorts
.
Clin Sarcoma Res
.
2018
Jul
;
8
(
1
):
12
.
[PubMed]
2045-3329
10.
Onkozert. Sarkomzentren [Internet] [cited 2019 May 21]. Available from: https://www.onkozert.de/organ/sarkom
11.
Leitlinienprogramm Onkologie der AWMF
.
DKG und DK.
Leitlinienvorhaben: Adulte Weichgewebesarkome [Internet] [cited 2019 May 21]. Available from: https://www.awmf.org/leitlinien/detail/anmeldung/1/ll/032-044OL.html
12.
Harris
PA
,
Taylor
R
,
Thielke
R
,
Payne
J
,
Gonzalez
N
,
Conde
JG
.
Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support
.
J Biomed Inform
.
2009
Apr
;
42
(
2
):
377
81
.
[PubMed]
1532-0464
13.
Lobbezoo
DJ
,
van Kampen
RJ
,
Voogd
AC
,
Dercksen
MW
,
van den Berkmortel
F
,
Smilde
TJ
, et al
.
In real life, one-quarter of patients with hormone receptor-positive metastatic breast cancer receive chemotherapy as initial palliative therapy: a study of the Southeast Netherlands Breast Cancer Consortium
.
Ann Oncol
.
2016
Feb
;
27
(
2
):
256
62
.
[PubMed]
0923-7534
14.
Heudel
PE
,
Cousin
P
,
Lurkin
A
,
Cropet
C
,
Ducimetiere
F
,
Collard
O
, et al
.
Territorial inequalities in management and conformity to clinical guidelines for sarcoma patients: an exhaustive population-based cohort analysis in the Rhône-Alpes region
.
Int J Clin Oncol
.
2013
;(
August
):
[PubMed]
1341-9625
15.
Mathoulin-Pelissier
S
,
Chevreau
C
,
Bellera
C
,
Bauvin
E
,
Saves
M
,
Grosclaude
P
, et al
.
Adherence to consensus-based diagnosis and treatment guidelines in adult soft-tissue sarcoma patients: a French prospective population-based study.
Ann Oncol. 1. Januar
2014
;25(1):225–31.
16.
Hellwig
D
,
Marienhagen
J
,
Menhart
K
,
Grosse
J
.
Nuklearmedizin in Deutschland: Aktualisierte Kennzahlen und Trends aus offiziellen Statistiken
.
Nucl Med (Stuttg)
.
2017
;
56
(
02
):
55
68
. 0029-5566
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